
<form id="form" action="{:url('order/add')}">
    <div class="titlebar"><i class="iconfont icon-text_icon"></i>增加订单</div>
    <table class="formtable">
        <tr>
            <th>用户:</th>
            <td>
                <input readonly="readonly" id="uid" class="readonly input w100" type="text" name="uid" value="0"/>
                <button url="{:url('system/passport.user/selectUser')}" data="uid" type="button" class="selectid button">
                    <i class="iconfont icon-my_icon"></i>选择用户
                </button>
            </td>
        </tr>
        <tr>
            <th>产品:</th>
            <td>
                <input readonly="readonly" id="product_id" class="readonly input w100" type="text" name="product_id" value="0"/>
                <button url="{:url('order/selectProduct')}" data="product_id" type="button" class="selectid button">
                    <i class="iconfont icon-my_icon"></i>选择产品
                </button>
            </td>
        </tr>
        <tr>
            <th>标题:</th>
            <td><input class="input w400" datatype="*" type="text" name="title"/></td>
        </tr>
        <tr>
            <th>问题:</th>
            <td><input class="input w400" datatype="*" type="text" name="question"/></td>
        </tr>
        <tr>
            <th>姓名:</th>
            <td><input class="input w100" datatype="*" type="text" name="realname"/></td>
        </tr>
        <tr>
            <th>电话:</th>
            <td><input class="input w120" datatype="*" type="text" name="phone"/></td>
        </tr>
        <tr>
            <th>住址:</th>
            <td><input class="input w400" datatype="*" type="text" name="address"/></td>
        </tr>
        <tr>
            <th>紧急程度:</th>
            <td>
                <select class="select w200" datatype="*" name="urgent" class="select">
                    <option value="0">一般</option>
                    <option value="1">中等</option>
                    <option value="2">危险</option>
                    <option value="3">超急</option>
                </select>
            </td>
        </tr>
        <tr>
            <th>
                <input type="hidden" name="img" id="img_index"/>
                <button url="{:url('system/passport.common/upload')}" type="button" class="button selectid"><i class="iconfont icon-pic"></i>选择图片
                </button>
            </th>
            <td id="imgbox"></td>
        </tr>
        <tr>
        <th></th>
        <td>
            <input type="submit" value="确定" class="button button-blue submit" />
            <input type="reset" value="重置" class="button button-blank"/>
        </td>
    </tr>
</table>
</div>
</form>
<script type="text/javascript">
Do('base','layer','form','date',function () {
    $('#form').isForm();
    $(".selectid").win();
})
</script>